Mahendra G Amin MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

027483 Issued in GA

Legal business name

MAHENDRA G AMIN MD PC

Practice address

1022 Bryan St W
Douglas, GA 31533-2328

Phone

(912) 632-2117

NPI assigned

Jan 6, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Karen Sue Douglas

Title

Manger

Phone

(912) 632-2117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahendra G Amin, MD

  • Obstetrics & Gynecology Physician
  • Douglas, GA
  • NPI 1912060401
  Medicare reassignment NPD
• Lisa Jan Merritt, NP

  • Family Nurse Practitioner
  • Fayetteville, GA
  • NPI 1386917995
  NPD (past)
• Monica Nichole Wooten, FNP-C

  • Family Nurse Practitioner
  • Douglas, GA
  • NPI 1952879918
  NPD (past)
• Nobel Dzorgbenyah Attipoe, MD

  • Obstetrics & Gynecology Physician
  • Jackson, MS
  • NPI 1497864169
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1245628809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 BRYAN ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332328",
            "telephone_number": "912-632-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 BRYAN ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332328",
            "telephone_number": "912-632-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHENDRA G AMIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "912-632-2117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "027483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lott, PA-C
• Debra Sharon Luke, FNP-C
• Torrey Mack
• W Eric Macleod, MD
• Magnolia House PCH, Inc
• Malcolms Drug Store Inc
• Malcolms Drug Store Inc
• Kera Ashlyn Malphus
• Elizabeth Martyn, NP
• Alfred Walter Mazur, M.D.

• Obstetrics & Gynecology Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.